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NPI Code Detail

MEDICARE: STRENGTH AND BALANCE COUNSELING, PLLC

MEDICARE: STRENGTH AND BALANCE COUNSELING, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency6401011071MI

General Provider Information

NPI Number : 1831434216
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRENGTH AND BALANCE COUNSELING, PLLC
Provider Business Mailing Address
First Line : 455 S LIVERNOIS RD STE C12
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-2582
Country : US
Telephone Number : 248-605-1860
Fax Number : 248-659-1543
Provider Business Practice Location Address
First Line : 455 S LIVERNOIS RD STE C12
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-2582
Country : US
Telephone Number : 248-605-1860
Fax Number : 248-659-1543
Authorized Official
Title or Position : OWNER
Name : MRS. LYANNA M LEIBERT
Credential : M.ED., ED.S., LPC
Telephone Number : 248-605-1860
Provider Enumeration Date : 12/11/2012
Last Update Date : 02/14/2024

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